<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">


<html xmlns="http://www.w3.org/1999/xhtml">
<head>
	<title>IKEA | Billing Address</title>

	<meta name="IRWStats.pageType" content="Checkout" />
	<meta name="IRWStats.category" content="Checkout"/>
	<meta name="IRWStats.subCategory" content="billing and shipping"/>
	<meta name="IRWStats.categoryLocal" content="Checkout"/>
	<meta name="IRWStats.subCategoryLocal" content="Billing and Shipping - step 1"/>
	<meta name="IRWStats.internalPageType" content="ecom-step1" />


	      <meta name="IRWStats.memberSignupStart" content="yes" />
	      <meta name="IRWStats.checkoutStart" content="yes" />

		<meta name="IRWStats.checkoutGuest" content="yes" />

<meta http-equiv="X-UA-Compatible" content="IE=EmulateIE7" />

</head>
<body>


	    <form name="signup_checkout_private" id="signup_checkout_private" action="IrwProceedFromBillingAddressView" method="post">
	 		<input type="hidden" name="authToken" value="376866552%2cfe3%2bU3t3PF7ZxkOL%2fZ%2fIadn8at4%3d" id="signup_authToken_In_Register_1"/>
			<input type="hidden" name="orderId" value="70854417"/>
			<input type="hidden" name="storeId" value="12" />
			<input type="hidden" name="langId" value="-1" />
			<input type="hidden" name="lateAddressEdit" value="false" />

	        	<input type="hidden" name="business" value="0">

	        <input type="hidden" name="validationMode" value="newCustomer">

		<div id="signupErrorTier"></div>


	        <div id="billingBox"><!-- begin billing address -->
		        <div class="halfBox"><!-- column 1 -->
		            <div id="firstName_field" class="formField">
		            	<div id="firstName_label" class="formLabel"><label for="firstName">First Name:</label></div>
		            	<div>
			            	<div id="firstName_input" class="formInput"><input type="text" name="firstName" id="signup_checkout_private_firstName" value="" maxlength="15"></div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
		            </div>

					<div id="lastName_field" class="formField">
						<div id="lastName_label" class="formLabel"><label for="lastName">Last Name:</label></div>
						<div>
							<div id="lastName_input" class="formInput"><input type="text" name="lastName" id="signup_checkout_private_lastName" value="" maxlength="30"></div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>

					<div id="address1_field" class="formField">
						<div id="address1_label" class="formLabel"><label for="address1">Address 1:</label></div>
						<div>
							<div id="address1_input" class="formInput"><input type="text" name="address1" id="signup_checkout_private_address1" value="" maxlength="30"></div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>


					<div id="address2_field" class="formField">
						<div id="address2_label" class="formLabel"><label for="address2">Address 2:<span class="optional">&nbsp;(Optional)</span></label></div>
						<div>
							<div id="address2_input" class="formInput"><input type="text" name="address2" id="signup_checkout_private_address2" value="" maxlength="30"></div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>

					<div id="state_field" class="formField">
						<div id="state_label" class="formLabel"><label for="state">State:</label></div>
						<div>
							<div id="state_input" class="formInput">
								<select id="signup_checkout_private_state" name="state">
									<option value="">Choose state</option>

										<option value="AL">Alabama</option>

										<option value="AK">Alaska</option>

										<option value="AZ">Arizona</option>

										<option value="AR">Arkansas</option>

										<option value="CA">California</option>

										<option value="CO">Colorado</option>

										<option value="CT">Connecticut</option>

										<option value="DE">Delaware</option>

										<option value="DC">District Of Columbia</option>

										<option value="FL">Florida</option>

										<option value="GA">Georgia</option>

										<option value="ID">Idaho</option>

										<option value="IL">Illinois</option>

										<option value="IN">Indiana</option>

										<option value="IA">Iowa</option>

										<option value="HI">Hawaii</option>

										<option value="KS">Kansas</option>

										<option value="KY">Kentucky</option>

										<option value="LA">Louisiana</option>

										<option value="ME">Maine</option>

										<option value="MD">Maryland</option>

										<option value="MA">Massachusetts</option>

										<option value="MI">Michigan</option>

										<option value="MN">Minnesota</option>

										<option value="MS">Mississippi</option>

										<option value="MO">Missouri</option>

										<option value="MT">Montana</option>

										<option value="NE">Nebraska</option>

										<option value="NV">Nevada</option>

										<option value="NH">New Hampshire</option>

										<option value="NJ">New Jersey</option>

										<option value="NM">New Mexico</option>

										<option value="NY">New York</option>

										<option value="NC">North Carolina</option>

										<option value="ND">North Dakota</option>

										<option value="OH">Ohio</option>

										<option value="OK">Oklahoma</option>

										<option value="OR">Oregon</option>

										<option value="PA">Pennsylvania</option>

										<option value="RI">Rhode Island</option>

										<option value="SC">South Carolina</option>

										<option value="SD">South Dakota</option>

										<option value="TN">Tennessee</option>

										<option value="TX">Texas</option>

										<option value="UT">Utah</option>

										<option value="VT">Vermont</option>

										<option value="VA">Virginia</option>

										<option value="WA">Washington</option>

										<option value="WV">West Virginia</option>

										<option value="WI">Wisconsin</option>

										<option value="WY">Wyoming</option>

				                </select>
							</div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>

					<div id="zipCode_field" class="formField">
						<div id="zipCode_label" class="formLabel"><label for="zipCode">Zip Code:</label></div>
						<div>
							<div id="zipCode_input" class="formInput">
								<input type="text" size="10" name="zipCode" id="signup_checkout_private_zipCode" value="" maxlength="8">

							</div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
						<div id="zipCode_sample" class="formSample">Example: 55555</div>
					</div>

					<div id="city_field" class="formField">
						<div id="city_label" class="formLabel"><label for="city">City:</label></div>
						<div>
							<div id="city_input" class="formInput"><input type="text" name="city" id="signup_checkout_private_city" value="" maxlength="30"></div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>

						<input type="hidden" name="country" value="US">


					<div id="email1_field" class="formField">
						<div id="email1_label" class="formLabel"><label for="email1">Email:</label></div>
						<div>
							<div id="email1_input" class="formInput"><input style="-moz-user-select: none;" type="text" name="email1" value="" maxlength="60" id="signup_checkout_private_email1"></div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
						<div id="email1_sample" class="formSample">Example: xx@xxx.xx</div>
					</div>


					<div id="email1retype_field" class="formField">
						<div id="email1retype_label" class="formLabel"><label for="email1retype">Re-type Email:</label></div>
						<div>
							<div id="email1retype_input" class="formInput"><input style="-moz-user-select: none;" type="text" name="email1retype"  value="" maxlength="60" id="signup_checkout_private_email1retype"></div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>

					<div id="phone1_field" class="formField">
						<div id="phone1_label" class="formLabel"><label for="phone1">Primary Tel Number:</label></div>
						<div>
							<div id="phone1_input" class="formInput hasExt">
								<input type="text" size="8" name="phone1" id="signup_checkout_private_phone1" value="" maxlength="15">

								<label for="phone1ext">
									<span class="formText" id="phone1ext_text">Ext:</span><span class="optional">&nbsp;(Optional)</span>
								</label>
								<input type="text" size="2" name="phone1ext" id="signup_checkout_private_phone1ext" value="" maxlength="10">

							</div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
						<div id="phone1_sample" class="formSample">Example: 2155551212</div>
					</div>


					<div id="phone2_field" class="formField">
						<div id="phone2_label" class="formLabel"><label for="phone2">Alternative Number:</label></div>
						<div>
							<div id="phone2_input" class="formInput hasExt">
								<input type="text" size="8" name="phone2" id="signup_checkout_private_phone2" value="" maxlength="15">

								<label for="phone2ext">
									<span class="formText" id="phone2ext_text">Ext:</span><span class="optional">&nbsp;(Optional)</span>
								</label>
								<input type="text" size="2" name="phone2ext" id="signup_checkout_private_phone2ext" value="" maxlength="10">

							</div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>

					<div id="fax1_field" class="formField">
						<div id="fax1_label" class="formLabel"><label for="fax1">Fax Number:<span class="optional">&nbsp;(Optional)</span></label></div>
						<div>
							<div id="fax1_input" class="formInput hasExt">
								<input type="text" size="8" name="fax1" id="signup_checkout_private_fax1" value="" maxlength="20">

								<label for="fax1ext">
									<span class="formText" id="fax1ext_text">Ext:</span><span class="optional">&nbsp;(Optional)</span>
								</label>
								<input type="text" size="2" name="fax1ext" id="signup_checkout_private_fax1ext" value="" maxlength="">

							</div>

				            	<div class="formError"></div>

			            <div class="clearBox">&nbsp;</div>

						</div>
					</div>

		        </div> <!-- end column 1 -->

		        <div class="clearBox">&nbsp;</div>
	        </div>  <!-- end billing address -->
			</div><!-- end boxContent -->
		</div><!-- end tier4  --><div class="clearBox">&nbsp;</div>
<div id="tier6"><!-- privacy policy -->
	<div class="boxContent">
		<div id="privacyPolicyBox" class="halfBox">
			<div id="textAcceptPrivacyPolicy">
				You must accept the privacy policy before continuing.
			</div>
			<div id="termsAndConditions_text"><input type="hidden" name="termsAndConditions" id="termsAndConditions_id" value="1"></div>
			<div id="termsAndConditions_label">
				<label for="termsAndConditions_id">
					By continuing to next step you agree to our <a rel="nofollow" href="/ms/en_US/popup/pp_popup.html" target="_blank" title="This link opens a new window" >
								privacy policy
							</a>
				</label>
			</div>
		</div>
		<div class="clearBox">&nbsp;</div>
	</div><!-- end boxContent -->
</div><!-- end tier6 / privacy policy -->		<div id="tier7"><!-- final links and continue button -->
			<div class="boxContent">



				<noscript>
					<div class="buttonContainer"><a ><div class="buttonLeft">&nbsp;</div><div class="buttonCaption"><input type="submit" name="submitButton_IrwAddressDetails" value="Save & Continue" /></div><div class="buttonRight">&nbsp;</div></a></div>
				</noscript>
				<div style="clear:both; font-size:0px;">&nbsp;</div>
			</div> <!-- end boxContent -->
		</div> <!-- end teir7 / final links and continue button -->
		</form>

</body>
</html>
